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DR. DOUGLAS SMITH WILSON D.C.
NPI 1730260969
Chiropractor in Santa Maria, CA

Active since October 17, 2006
2615 S MILLER ST STE 108, SANTA MARIA, CA 93455(805) 938-7480(805) 938-7492 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Douglas Smith Wilson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOUGLAS SMITH WILSON D.C. (NPI 1730260969) is an individual chiropractor in Santa Maria, California, licensed in California (DC21563) and active in the NPI registry since October 2006. He is a graduate of Other (1991).

NPPES Registry Identity

NPI1730260969
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. DOUGLAS SMITH WILSONCredential: D.C.
Location Address2615 S MILLER ST STE 108Santa Maria, CA 93455-1775
Mailing Address2615 S Miller St Ste 108Santa Maria, CA 93455-1775 · (805) 938-7480 · Fax (805) 938-7492
Phone(805) 938-7480
Fax(805) 938-7492
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1730260969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC21563
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
2615 S MILLER ST STE 108, Santa Maria, CA 93455
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Other Identifiers 1

Medicare UPINU20759CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Douglas Smith Wilson D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9931150513
PECOS Enrollment IDI20050201001029

Medicare Billing Reassignment

Medicare enrollment records show Douglas Wilson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Douglas S. Wilson Chiropractic Corporation
Same address
Chiropractor
2615 S MILLER ST STE 108
Santa Maria, CA 93455
  • Reassigned Medicare billing, California enrollment
NPI 1770904799 (805) 938-7480

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
441 services73 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NICHOLAS TEIXEIRA DC
Chiropractor
2615 S MILLER ST STE 108
SANTA MARIA, CA 93455
Santa Barbara County (805) 938-7480
DOUGLAS S. WILSON CHIROPRACTIC CORPORATION
Chiropractor
2615 S MILLER ST STE 108
SANTA MARIA, CA 93455
Santa Barbara County (805) 938-7480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Wilson's NPI number?

The NPI number for Douglas Wilson is 1730260969. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Douglas Wilson located?

Douglas Wilson practices at 2615 S Miller St Ste 108, Santa Maria, CA 93455. The listed phone number is (805) 938-7480.

What is Douglas Wilson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Douglas Wilson enrolled in Medicare?

Yes. Douglas Wilson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Douglas Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Wilson reassigns Medicare benefits to Douglas S. Wilson Chiropractic Corporation (Santa Maria, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Douglas Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Douglas Wilson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.